What is involved with post mastectomy breast reconstruction?

Lots of options: Reconstruction can be performed either immediately (begun) at the time of mastectomy or later after recovery. The two main techniques are either using implants with or without tissue expansion and using your own body tissue. You should consult with at least one plastic surgeon at the recommendation of your primary physician, ob/gyn or breast surgeon. A team approach is best.

Individual planning: This a complex problem that requires that your surgical plan be coordinated with your treatment team. Depending on many factors the reconstruction should be individualized to your needs.

Reconstruction: Post mastectomy reconstruction is best treated through a multidisciplinary approach. The reconstructive plastic surgeon should be involved early to help determine the incisions, the eventual reconstruction choices and options, and to advise the patient on the aesthetic ramifications of choosing breast conservation vs mastectomy. Timing, implants or tissue are all choices that have to be made.

Multiple steps: There are several reconstructive options which can be performed at the same time as mastectomy or any time later. Not everyone is a candidate for immediate reconstruction. Options range from breast implants to "flap" surgery which use the patient's own tissue to recreate a "natural", warm, soft breast. The nipple and areola can also be reconstructed. Typically more than one surgery is required.